This is a randomised trial comparing cognitive therapy and supportive therapy administered along one year in borderline personality disorder. The follow-up is one year after treatments end. The therapists were the same in the two groups. Patients received one session a week during six months and one session every two weeks during the next six months
* Cognitive Therapy * Structured session * Conceptualization of the case with the patient * Cognitive methods * Guided discovery of the schemas * Work on life-scenarios * From scenarios to schemas * Empathic confrontation to the schemas * Building new schemas (Core belief work-sheet) * Affective methods: role playing * Interpersonal methods: counter transference issues * Behavioral experiment * Problem solving * Consolidation methods * Patients and therapists had manuals * Supportive Therapy * Therapist: active listening (face to face) * Empathy * Unconditional positive regard * Reformulation and clarification * Reflection of the patient's feelings * Reassurance * Therapist emphasizes the importance to ventilate problems * Therapist answers some factual questions * Therapist politely ignore or refuse requests for advice and directive attitudes * Therapist demonstrates warmth and genuineness * Patients and therapists had manuals
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
SINGLE
Enrollment
70
Hopital Pierre Wertheimer
Bron, France
Clinical Global Impression (CGI): Improvement (1-7): score 3 ( a little better) associated with a hopelessness scale score < 8 (this means that the suicide risk is low)
CGI severity and improvement
Hamilton depression
Beck Depression Inventory
Hopelessness
Young: Schema Questionnaire II
Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition Personality Disorders Personality Questionnaire (SCID II PQ)
Minnesota Multiphasic Personality Inventory (MMPI) (minimult)
Eysenck: impulsivity scale
Checklist: impulsive risky behaviors
Quality of life
Handicap (Sheehan)
Time: Pre test, six months, post test and one year post treatment follow-up
Therapeutic relationship evaluation scale (patients and therapists)
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